Value Based Healthcare Strategy & Tactics

In healthcare, days of business as usual are over. We are struggling with rising costs, high levels of clinician burnout, and lack of adequate quality metrics - or the effective use thereof- on both a national and international scale. This, despite the enormous energy and knowledge healthcare professionals invest on a daily basis. It is time for patient-centric & clinician-led strategies, business models and cooperative operation designs for our healthcare industry. Maximizing value for patients and the system at large should and could be the overarching goal.

After more than a decade of experience in training clinician groups, and designing integrated practice units, based on the principles of Value Based Health Care and Clinical Leadership, the time is right for a system approach. Both within healthcare organizations, and in national & regional ‘through-the-line’ governing structures. I am poised and convinced to help clinicians lead and thrive in a more valuable and sustainable system.

Whether it’s building a disease specific center, network re-design, creating value based quality measurements or research, clinical leadership training or help prioritize and structure your healthcare challenges, feel free to contact me and start sharing minds.



  • Integrated Practice Units: A Playbook for Health Care Leaders

    Michael E. Porter, PhD, MBA, Thomas H. Lee, MD, MSc, NEJM Catalyst 2021

    The playbook for assembling and integrating a successful Integrated Practice Unit (IPU) features several key steps, including defining the patient condition or set of related conditions to be served, as well as defining patient needs across the care cycle and mapping the processes involved to meet those needs. Leaders then need to assemble a multidisciplinary team by identifying the appropriate mix of clinical and patient support personnel to address the full care cycle, including common comorbid medical conditions and complications. Execution involves the creation of a number of mechanisms that facilitate and support integration across the team, including physical, financial, and IT elements. The authors offer a playbook for development of IPUs as an integral part of the Value Agenda, which is designed to provide a path toward high-value care and the business success that will result.

  • "Clinical leadership is essential for improving healthcare performance"
    Richard Bohmer

    Richard Bohmer and Michèle van der Kemp together deliver Clinical leadership and Care Redesign Programs throughout the Netherlands

  • Digital Care and (closer to) Homecare

    Everyone talks about it, most clinicians try to practice it, but how do we ensure a more structural commitment in both our teams and our healthcare institutions? When should care delivery be at home, in our local network or at our regional hospital? We developed a practical tool for clinical teams on the ground in setting up disease specific and hybrid care pathways. From an organizational level to an individual level, various forms of care can, and should, be discussed among colleagues and implemented in their daily practice. Of course, in joint decision-making with patients. This free-of-use Closer to care Guide is based on practical experiences and the beliefs of doctors, nurse specialists and patients in the Netherlands. Use it to your own benefit and organize care in a modern and sustainable way. For yourself, your team and your patients.

  • Constructieve Continuïteit van Zorg in een Pandemie (Dutch)

  • How well developed is our Value Based Care on all seven domains of VBHC? The QuickScan (Dutch) serves as a Clinician Reported Outcome Measure to regularly test and feedback IPU progression and ambitions.

  • "We hired Michèle to help us with the formation of the first Dutch Brain Tumor Center. She accurately handled the administrative jungle of a large hospital to help us embedding the center, she structured the various responsibilities and tasks, she created our communication channels such as website, logos and mission statement, she helped and stimulated in defining outcome measures for our treatments, with her energetic personality she empowered our team spirit… But most importantly, during the project she acted as a true member of our team. Her role was pivotal in the formation of a very successful multidisciplinary academic treatment center."

    Clemens M.F. Dirven, MD PhD Head of department Neurosurgery, Erasmus University Medical Center Rotterdam
  • "I am pleased to highly recommend Michèle van der Kemp for her abilities in the field of value-based health care. I have come to know Michèle during our collaborative work on the design of a translational health care platform (CuraRata) at the Leiden University Medical Center (2008 – 2011) and her assistance during the design of a value based health care model at the Center for Inflammatory Bowel Diseases, UCLA, Los Angeles (2011 – 2013). Michèle is a strong and warm personality who positively influenced the creative and strategic processes of our various projects. On one hand she is able to help clearly express our vision and mission while on the other hand she is very accurate to the tiniest detail on an operational level. It is such a pleasure, not only for me but for entire teams, to follow the reasonable but strict timelines and see our projects blossom under her supervision. Of particular note are her positive attitude and sense of humor during oftentimes challenging moments."

    Daniel W. Hommes, MD PhD Professor of Medicine Director of the Center for Inflammatory Bowel Diseases at UCLA Health, Los Angeles, California
  • "Michèle is a breath of fresh air in the medical industry. Her vision on patient care and information channels is an eyeopener to MDs in the Netherlands and abroad. This, combined with her clear and pleasant communicative skills, in my opinion are compelling arguments to let VDKMP take an indepth look at your own healthcare institution and its patient information. In other words: if you want to upgrade the quality level of your daily practice and communication a talk with VDKMP is wholeheartedly recommended."

    Natasha M. Appelman-Dijkstra, MD Internal Medicine, Endocrinology, Leiden University Medical Center
  • "Michèle’s razor-sharp wit and sensitivity helped me restructure the organization while preserving social integration."

    Ton J. Rabelink, MD PhD Professor and Chair of Medicine, Division of Nephrology, Leiden University Medical Center
  • "Working with Michèle is a great pleasure: she combines leadership, insight in value based healthcare and marketing skills with a great sense of humor and enormous energy. Her support was instrumental in the successful launch of the Erasmus MC Brain Tumor Center and I can strongly recommend her."

    Peter A.E. Sillevis Smitt, MD PhD Head department Neurology, Erasmus University Medical Center Rotterdam
  • "Many thanks Michèle for a super job!

    Michèle van der Kemp was instrumental in bringing to fruition the establishment of a dedicated Centre of Excellence for Metabolic Bone Diseases in our Academic Centre. Michèle is a sharp, versatile and talented communicator and it was a great pleasure working with her on this project. With her fine-tuned analytical and strategic skills, she was able to fully capture the essence of the issues at hand and to provide efficient strategies for the successful conclusion of the project.
    I would not hesitate in wholeheartedly recommending Michèle, and wish her all the very best in her future ventures."

    Neveen A.T. Hamdy, MD Director, Center for Bone Quality, Leiden University Medical Center
  • "Michèle is one of the few consultants who is able to combine strategic, academic insights with a pragmatic approach and savvyness essential to driving business. When performing the innovation cycles with the various therapeutic area teams, she deeply impressed the participants by her capability of grasping the essence of the business while pushing them to greater heights. She gives honest feedback leading the teams to results through her structured way of working. It is a pleasure and inspiration to work with Michèle."

    Ulrike Jacobi Director Regional Market Access & Health Care Innovation, AstraZeneca



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